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Giant enterolith in ileal diverticulum following ileoplastic bladder augmentation
Boris Kirshtein1, Zvi Howard Perry, Joseph Klein
1Department of Surgery "A", Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
International Journal of Surgery Case Reports
|March 19, 2013
Summary
Giant enteroliths can form in ileal diverticula after small bowel surgery, causing abdominal lumps. Surgical resection of the affected segment is the recommended treatment for this rare complication.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Post-abdominal surgery, new onset constipation and abdominal masses warrant investigation beyond common causes like adhesions or hernias.
- Malignant neoplasms of the intra- and retro-peritoneum are also considered but other etiologies exist.
Purpose of the Study:
- To report a case of giant enteroliths within ileal diverticula causing a palpable abdominal lump after small bowel surgery.
- To highlight a rare cause of abdominal mass in patients with a history of abdominal surgery.
Main Methods:
- A case report detailing the presentation, diagnosis, and management of a patient with a giant enterolith.
- Review of relevant literature on ileal diverticula and enterolith formation.
Main Results:
- Giant enteroliths formed within ileal diverticula at the site of small bowel anastomosis.
- These enteroliths extruded, leading to a palpable abdominal lump and constipation.
Conclusions:
- Ileal diverticula containing enteroliths should be suspected in patients with abdominal lumps after small bowel resection.
- Surgical resection, either open or laparoscopic-assisted, is the definitive treatment.
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